615 WETMORE AVE 2022-01-13 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING / MECHANICAL/PLUMBING /SIGN/SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 ,VASHINGTON 1P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: (.G 15 .0\vi , A vim' , ciS);l.C PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: J,�� j 4;4. , A. 6 v,,;„C ---6.. TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET Cc:i,. 1A-) ;'1 oet.._ J4-Ve L)-� CIN '✓f'Vie�r STATE LV'.21 V - �%+�� ZIP s&a.© OWNER PHONE: LI15 -73 7- 2_3 31 OWNER EMAIL: cKrrcc &iY i\.cc" CONTRACTOR NAME: ' c:,�,(\ C 4-3 b A �C_`� le,c C t' CONTRACTOR ADDRESS: STREET (j I.5 (, �} �(��E' A v CITY "etAl E STATE l/L Irk ZIP CI FA(J CONTRACTOR PHONE: Li).. - 3 7- Z,33 0 CONTRACTOR EMAIL: :3 t"cL;�Cjt b` ` _ ,01 CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: :4 Z rJ . 7 3 7_ Z 3 3 -RC:l);(\ S Ch.).ckr t CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ kf AC. C C.0 C) Proposed Use of Building: ,Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: f t_p IC>,c hcj O I a he-t 1 ter �n �� 11tr�C{ e a � �` � f�evo e,' Pt.pQ S . ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 6Z Crer:IN: 1 0( i"7 2_0 tct Owner/Authorized Agent Signature Date (Revised 10/10/2018)